Remedial Course & Clinical Documents

Click and download to enter your info or print the forms, complete the form by entering information requested in each form clearly, do this for all forms, sign all forms, mail all forms to our office (address at bottom of this page). Include copies of your ID/Driver license, SS Card, Insurance card, CPR card. Note: do not send documents by email, mail all documents to the school address. NOTE: Send All Documents  together one time, same time. Do not send incomplete documents, to avoid getting lost. We have a secure mailbox.  
Note that form #4.2 must be taken to a healthcare provider for completion and signature.

Required: immunization records – Physical, HEP B, MMR, Varicella titers, TB Screening.
Others: Background Check, Professional Liability insurance-on campus, Driver’s License, SS Card, proof of health insurance, AHA BLS CPR (Rophem AHA CPR)

A. Click here to order your Polo Shirt Clinical Female Polo  | Clinical Male Polo
Uniform must be ordered latest 2 weeks before start of clinical/live class, to make sure it will be ready. No one will be allowed to clinical without required uniform. 

B. Uniform For Live class Rophem Polo top on Navy Blue Scrubs pants, with clean shoes. Please do NOT use another color scrub pants.
C. Books are Students costs, the course payments does NOT include any book.

Number 1a. Read, sign, and mail to us – Remedial Course Instructions 

Number 1b. Read, sign, and mail to us – Student Enrollment Agree Form  
Submit signed Enrollment agreement before you start start theory. You can send this form to us via email (only this form will be accepted by email, mail or drop off all other documents); or print and mail to us, or drop off at office if possible. 

Number 2. Read & sign the Clinical Instructions

Number 3. List of all documents you will need to submit – Course Requirements

Number 4. Complete your payment – Half Payment or Full Balance
(due 2 weeks before class/course/clinical starts, late charge of $100.00 if not paid by the due date

Number 5. Print & Sign PAYMENT PLAN POLICY 
Payment Links: or click here to pay full balance

LIVE Class Remedial – once every quarter
Live Theory Payment-1 = $750.00 (due 2 wks before class starts) 

ONLINE (Start on Mondays)  
Online Theory Payment-1 = $680.00

Payment Balance for all – 2 weeks before clinical starts date
Remedial Payment-2 = $700.00

Number 6.  4-1. ROPHEM-PHYSICAL EXAM Form-Pg 1

Number 7. 4-2. ROPHEM-PHYSICAL EXAM Form-Pg 2 (must be completed by MD, PA, D.O., APRN)

Number 8. VECHS-Private-School-Waiver-Agreement-and-Statement-Form(1)

Number 9. Background Check ORI instructions

Number 10. Hepatitis B Vaccine Declination Form

Number 11. Acknowledgement of Risk and Release of Liability

Number 12. Drug testing – Do this within one month before clinical start date – DRUG TESTS  (Must be submitted with all documents – 2 weeks before clinical)

Number 13. Remedial Course Grade Calculations  

Number 14 – Complete this Health Insurance Waiver Form if you do not have Health Insurance.

We will discuss these 2 course and how to obtain the certificates, on the first day of clinical.  

Any fees paid cannot be carried over to another calendar year, course must be completed as scheduled. If you are unable to complete clinical within a specific 12 calendar year, you will be required to start over in the following year. Completed clinical training with Satisfactory result is only good for one calendar year.
Be sure to read and be familiar will all Remedial Theory and Clinical Policies.

Rophem Nursing Education
3530 1st Ave North, Suite 201
St Petersburg, FL. 33713.

Remedial Course Clinical Transfer Info

If you have to transfer to another group to complete the clinical portion of the Remedial Course, you will need to complete the Remedial Course Transfer Documents and pay a Transfer fee of $300.00 Non refundable. Remedial_Transfer_Form

To your Success!


**Remedial Course Step by Step to completion – 12 weeks total.
Step 1 – After 100.00 deposit – Complete Forms & Payment (half or full)
Step 2 – Submit the Enrollment Agreement | Create your online account. Start Theory – Live or Online.
Step 3 – Complete Required Clinical Documents
Step 4 – Submit all clinical documents & pay balance if applicable – due 2 weeks before clinical
Step 5 – Start Clinical Training based on group/dates selected.
Step 6 – Complete course, Pass all exams & Mock/Readiness Exams
Step 7 – Completion Letter sent to BON via email.

Answer to an important question:
At the completion of the course, if a student does not make the total grade of 70%, it means the student has not passed the course. In this case, the student will be given a choice to retake the Course exams and Comp/Cumulative exams to improve the final grades – for $500.00 (Discounted, theory portion only is $780). The length of this retake will be 3 months (90 Days).

Clinical training result is good for one calendar year.